Bacon, Janice Lynne

Bacon, Janice Lynne is an individual health care provider with primary practice located at 222 E Medical Ln Ste 300 , West Columbia SC 29169-4848. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Bacon, Janice Lynne can be contacted via phone (803) 936-8100.

Contact Information

Primary practice address
222 E Medical Ln Ste 300 West Columbia SC 29169-4848
Phone: (803) 936-8100
Fax: (803) 936-8130
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 10128 South Carolina

Profile Details

NPI number 1194789735
LBN Legal business name Bacon, Janice Lynne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Oct 13th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194789735 NPPES
South Carolina MEDICAID 101286

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